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Comprehensive nursing assessment of physio-psychosocial factors associated with pain, anxiety and sleep problems and their interactions may improve nursing care
  1. Sumeeta Kapoor,
  2. Lynn Acheson
  1. Alberta Health Services, Acute Pain Services, Department of Anesthesia, Foothills Medical Centre, Calgary, Alberta, Canada
  1. Correspondence to Sumeeta Kapoor, Alberta Health Services, Acute Pain Services, Department of Anesthesia, Foothills Medical Centre, Calgary, Canada; sumeeta.kapoor{at}ahs.ca

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Commentary on:Miettinen, Teemu, et al. Sleep problems in pain patients entering tertiary pain care: The role of pain-related anxiety, medication use, self-reported diseases, and sleep disorders. Int J Nurs Stud (2021).

Implications for practice and research

  • Nurses should be aware of multiple physio-psychosocial factors and aetiologies of pain, sleep problems and anxiety and their cyclic interaction.

  • Nurse researchers should develop patient assessment tools to identify personalised and contextual factors that strengthen the cycle of pain, anxiety and sleep problems.

Context

Sleep problems and chronic pain are liked reciprocally, and independently associated to reduced daily living activities, and mental and physical health.1 2 The relationship between sleep problems and pain is complex with interacting factors such as duration, intensity, and frequency of pain, symptoms and challenges of managing chronic illnesses, and anxiety related to pain or poor sleep. Miettinen et al studied factors differing patients with pain who have sleeping problems from …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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